Stover Physical Therapy PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2275 Issued in OK

Legal business name

STOVER PHYSICAL THERAPY PC

Practice address

10400 S Pennsylvania Ave
Oklahoma City, OK 73159-6907

Phone

(405) 735-2270

Fax

(405) 735-2273

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Don A Stover III

Title

Owner

Phone

(405) 735-2270

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carol Pierce Dionne, PT, PHD, OCS

  • Orthopedic Physical Therapist
  • Oklahoma City, OK
  • NPI 1730202284
  NPD (past)
• Bradley Alan Spangler

  • Physical Therapist
  • Midwest City, OK
  • NPI 1457535817
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509321600000",
    "number": "1386796548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890178",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731890178",
            "telephone_number": "405-735-2270",
            "fax_number": "405-735-2273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 S PENNSYLVANIA AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596907",
            "telephone_number": "405-735-2270",
            "fax_number": "405-735-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STOVER PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2017-10-30",
        "status": "A",
        "authorized_official_last_name": "STOVER",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-735-2270",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "PT2275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200116740A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEP OF LABOR",
            "identifier": "1829788500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Kyle Stout
• Brittany Stoutermire
• Camryn Trice Stovall, PA-C
• Charisse Nicole Stovall, MD
• Lyndee Jean Stovall, M.S., CFY-SLP
• Debora L Stover, LPC
• Don A Stover III, PT
• Lauren Stover
• Sidney Marie Stover, MS
• Elizabeth Stoverink

• Physical Therapist in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Therapist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.